Mindlance · 1 day ago
Quality Audit Specialist
United States
Full-time
Remote
Mid Level
3+ years expMindlance is a company focused on healthcare solutions, and they are seeking a Quality Audit Specialist to support data collection for HEDIS clinical data sets. The role involves auditing electronic clinical records to ensure compliance with HEDIS regulations and improving data integrity through oversight of clinical data from various sources.
Human Resources
Responsibilities
Supports the data collection of HEDIS clinical data set tied to technical specifications
Auditing and review of electronic clinical records to ensure data accurately reflect medical record documentation to meet HEDIS regulatory compliance
Responsible for oversight and review of clinical data from Electronic Medical Records (EMRs) non-EMRs sources
Auditing supplemental data files supplied by providers and vendors to improve HEDIS rates/results
Conducts analysis and investigation on inquiries related to medical records data collection issues
Qualification
Required
Strong Knowledge of Healthcare Effective Data & Information Set (HEDIS) type of reporting
Minimum of 3 year's Healthcare industry experience; healthcare data
Strong experience with NCQA and HEDIS reporting, technical data analysis in formal audit formal audit environment
Strong clinical quality auditing experience
Strong written and verbal skills; Self-starter problem solving abilities
Strong PC proficiency including Word, Excel, PowerPoint, datasets, reporting tools with good multi-tasking skills
Strong understanding of Electronic Medical Record (EMRs) system from providers, vendors related to HEDIS interpretation
Conducts analysis and investigation on inquiries related to medical records data collection issues
Proven to be adept at navigating new systems and technology with little impact to your daily assignments
Experience with Coding or Certified Coding Certification with HEDIS experience
Company
Mindlance
Mindlance is a Staffing and Recruiting company which provides multi-vertical staffing services
1001-5000 employees
H1B Sponsorship
Mindlance has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (71)
2024 (53)
2023 (37)
2022 (72)
2021 (36)
2020 (40)
Funding
Current Stage
Late StageLeadership Team
R
Rajat Paul Dhall
Co-Founder & Managing Director
V
Vik Kalra
Co-Founder and Managing Director
Recent News
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